Week 6 Discussion Forum: Media/Technology Practice

Week 6 Discussion Forum: Media/Technology Practice

Week 6 Discussion Forum: Media/Technology Practice

This week, you will practice producing a screencast video presentation that allows you to report your progress on the final paper while also preparing you to build a quality final presentation for the course.


1. Build a three–slide PowerPoint (or Prezi) presentation that includes text and graphics. Outline your answers to the following questions:

What are some specific questions you have concerning the final argument paper?
What is your time–management plan for compiling and editing your final paper?
What parts of your final paper do you anticipate will take the most time and attention? For example:
Incorporating instructor feedback in your perspective papers
Reworking the perspective papers into one cohesive paper
Writing the introduction, conclusion, or abstract
APA formatting
Revising for grammar, spelling, and punctuation


The issue of declining patient satisfaction scores in the hospital emergency department (ED) has undermined patient experience requiring urgent and immediate attention emergence care services. Many patients take a long time from arrival to admission to discharge, thereby forcing them not to make referrals to the hospital. For instance, suppose the hospital needs to increase patient satisfaction scores from the 10th percentile to the 60th percentile and increase the patient volume by 10% from the mean of 7,000 patients per quarter to 8,000 patients per quarter. In that case, it must adopt a computerized clearance and admission system in the emergency room to ensure the work’s fast flow.

Patients’ declined satisfaction scores from the emergency department lead to damage to the hospital image and reputation in general. These declining scores imply increased rates of patients leaving without being treated who attribute the condition to poor emergency care services delivery (Vashi, Sheikhi, Nshton, Ellman, Rajagopal, & Asch, 2018). The main causes of patient dissatisfaction are length waits before getting admitted, and patients walking without being treated (Unwin, Nurs, Kinsman, Rigby, & Nurs, 2016). The emergency department’s policies determine the productivity of nurses in terms of clearing patients to receive emergency services. Many patients decide to leave to look for care services in other hospitals if their current healthcare facility cannot meet their care needs and demands. These incidences are the ones that significantly contribute to decreased patient satisfaction.

The improvement and enhancement of the ED operational efficiency facilitate the hospital to accommodate increased volume while enhancing the quality of care and satisfaction of the ED patients who have minimal additional resources, space, or staffing. In the United States, between 1995 to 2009, the yearly ED visits had increased from 96.5 million to 136.1 million (Sayah, Rogers, Devarajan, Kingsley-Rocker, & Lobon, 2014). This improvement was an increment of 41%, meaning the country’s healthcare system was supposed to have adequate healthcare facilities with enough ED resources to accommodate increased patient visits. Fortunately, the U.S. has witnessed decreasing lengthy ED waits, leaving without being treated, and increased quality care outcomes and patient satisfaction scores (Sayah et al., 2014). According to Sayah et al., (2014), in 2010, only 31% of American Emergency Departments had attained the required triage targets for their patients, and the other 48% healthcare facilities hospitalized their patients within 6 hours. Week 6 Discussion Forum: Media/Technology Practice

The impact of decreased patient satisfaction scores implies reduced revenue generation from the emergency department (ED). ED is the leading source and center for revenue collection in any hospital, which supports other departments’ operations. If patients leave without being treated, it means they do not make any payment to the ED; thus, revenue continues decreasing such that the hospital cannot meet its financial needs to operate. So, the impacts of reduced satisfaction scores directly affect the hospital’s ED and finance department in general.

Within the emergency department, various operational issues are leading to challenges such as IT system leaking patient charts and leaving them unprocessed and, therefore, payment left unaccounted, and patients leaving without treatment (LWOT). From an analytical point of view, the loss of documents and charts represent revenue loss and increases incidences of non-compliance. For instance, the assumed analysis below explains how ED can experience revenue loss:

Annual patient visits are 100,000. Assuming that the lengthy waits lower the visits to 85,000 due to patients leaving without being treated (LWBT) and that professional fee reimbursement is $120 per patient visit, the impact of LWBT will be an annual loss of $1.8 million in professional-fee revenue due to low patient flow. If the ED has a yearly LWBT rate of 3%, it will incur a revenue loss of $375,000 in fee revenue.

The primary issues linked to decreasing satisfaction scores involve an unmet expectation of patients needing emergency care services and damage to reputation. The given emergence services should be patient-centered to ensure that the satisfaction scores remain high. The damage to the hospital’s reputation is one of the core areas that need greater attention. Also, the significance of meeting patient care needs may positively impact the reputation of nurses working at the ED. For every 100 patient visits, 50 patients leave before seeing the care provider. Assuming that each patient visit contributes $250, it means when 50 leave the ED, the hospital loses a revenue of $12,500. Week 6 Discussion Forum: Media/Technology Practice




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